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タイトル: | 自然破裂をきたし急速な転帰をたどった腎細胞癌の1例 |
その他のタイトル: | Poor Outcome Due to Spontaneous Rupture of Renal Cell Carcinoma : A Case Report |
著者: | 金城, 孝則 種田, 建史 米田, 傑 竹澤, 健太郎 野村, 広徳 鄭, 則秀 高田, 晋吾 松宮, 清美 |
著者名の別形: | Kinjo, Takanori Oida, Takeshi Yoneda, Suguru Takezawa, Kentaro Nomura, Hironori Tei, Norihide Takada, Shingo Matsumiya, Kiyomi |
キーワード: | Spontaneous rupture Renal cell carcinoma |
発行日: | Aug-2013 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 59 |
号: | 8 |
開始ページ: | 517 |
終了ページ: | 521 |
抄録: | A 54-year-old man experienced sudden onset of severe pain in his left lower back. Because the pain persisted for two days, he visited our hospital. Abdominal computed tomography revealed a hematoma around his left kidney, which was diagnosed as spontaneous rupture of a renal tumor. He was immediately admitted and was scheduled to undergo elective surgery. However, because his hemoglobin level decreased suddenly on Day 9 and rebleeding from the renal tumor was suspected, we chose to perform left radical nephrectomy following emergency transcatheter arterial embolization of his left renal artery. The resected specimen was a solid brownish-red mass surrounded by hematoma, and the histopathological findings revealed that it was a renal clear cell carcinoma (G3>G2, INFα, pT1b, and pV0). On Day 51, he was found to have a local recurrence of carcinoma, and died five months after surgery. Spontaneous rupture of renal cell carcinoma is relatively rare : this is the 104th report on surgery for this carcinoma in Japan. |
著作権等: | 許諾条件により本文は2014-09-01に公開 |
URI: | http://hdl.handle.net/2433/178383 |
PubMed ID: | 23995529 |
出現コレクション: | Vol.59 No.8 |
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